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Employer Reporting and Adjustment Forms NYS Payroll Users Group May 4, 2017Presented by: William MurphyOffice of the New York State ComptrollerThomas P. DiNapoliAdjustment Reports Reasons to submit:
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How to fill out new york workers compensation

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How to fill out new york workers compensation

01
To fill out New York Workers Compensation, follow these steps:
02
Obtain the necessary forms: You will need Form C-3, Claim for Compensation, and any other relevant forms provided by your employer or insurance company.
03
Provide personal information: Fill in your full name, address, and contact details.
04
Provide employer information: Include your employer's name, address, and contact details.
05
Describe the injury or illness: Explain the details of your work-related injury or illness.
06
Provide medical information: Attach any medical reports, records, or bills related to your injury or illness.
07
Include supporting documents: Attach any supporting documents, such as witness statements or accident reports.
08
Sign and date the form: Make sure to sign and date the form before submitting it.
09
Submit the form: Send the completed form to the appropriate workers' compensation board or your employer's insurance company.
10
Follow up: Keep track of your claim and follow up with the workers' compensation board or insurance company for any updates or additional information they may require.

Who needs new york workers compensation?

01
New York Workers Compensation is needed by:
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- Employees who sustain work-related injuries or illnesses while on the job.
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- Full-time, part-time, and seasonal workers in both private and public sectors.
04
- Employees who work for employers who have a New York workers' compensation insurance policy or are legally required to provide workers' compensation benefits.
05
- Independent contractors and volunteers may also be entitled to workers' compensation benefits under certain circumstances.
06
- Employers in New York State are required by law to provide workers' compensation coverage to their employees.
07
- Exemptions from workers' compensation coverage exist for some specific types of employment.
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New York workers compensation is a system that provides financial and medical benefits to employees who are injured or become ill as a result of their work.
All employers in New York are required to carry workers' compensation insurance for their employees, and injured workers must file a claim to receive benefits.
To fill out a New York workers compensation claim, employees must obtain the appropriate forms from their employer or the New York State Workers' Compensation Board website, complete them with accurate information regarding the injury or illness, and submit them before the deadline.
The purpose of New York workers compensation is to provide a no-fault insurance system that ensures injured workers receive medical treatment, wage replacement, and rehabilitation services without needing to prove employer negligence.
The information that must be reported includes the nature of the injury, date and time of the incident, the circumstances surrounding the injury, medical treatment received, and relevant employee and employer details.
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